Imaging Diagnostic Report
0.0.1-current - ci-build International flag

Imaging Diagnostic Report, published by IHE Radiology Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/RAD.IDR/ and changes regularly. See the Directory of published versions

Resource Profile: IDRRecommendationServiceRequest - Mappings

Draft as of 2024-06-25

Mappings for the idr-recommendation-service-request resource profile.

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

IDRRecommendationServiceRequest
ServiceRequestRequest
   identifierRequest.identifier
   instantiatesCanonicalRequest.instantiatesCanonical
   instantiatesUriRequest.instantiatesUri
   basedOnRequest.basedOn
   replacesRequest.replaces
   requisitionRequest.groupIdentifier
   statusRequest.status
   intentRequest.intent
   priorityRequest.priority
   doNotPerformRequest.doNotPerform
   codeRequest.code
   subjectRequest.subject
   encounterRequest.encounter
   occurrence[x]Request.occurrence[x]
   authoredOnRequest.authoredOn
   requesterRequest.requester
   performerTypeRequest.performerType
   performerRequest.performer
   reasonRequest.reason
   insuranceRequest.insurance
   supportingInfoRequest.supportingInfo
   noteRequest.note
   relevantHistoryRequest.relevantHistory

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

IDRRecommendationServiceRequest
ServiceRequestclinical.general
   identifierFiveWs.identifier
   statusFiveWs.status
   intentFiveWs.class
   categoryFiveWs.class
   priorityFiveWs.grade
   codeFiveWs.what[x]
   subjectFiveWs.subject[x]
   focusFiveWs.subject[x]
   encounterFiveWs.context
   occurrence[x]FiveWs.planned
   authoredOnFiveWs.recorded
   requesterFiveWs.author
   performerTypeFiveWs.actor
   performerFiveWs.actor
   locationFiveWs.actor
   reasonFiveWs.why[x]

Mappings for HL7 V2 Mapping (http://hl7.org/v2)

IDRRecommendationServiceRequest
ServiceRequestORC
   identifierORC-2, ORC-3, RF1-6 / RF1-11,
   instantiatesCanonicalVaries by domain
   instantiatesUriVaries by domain
   basedOnORC-8 (plus others)
   replacesHandled by message location of ORC (ORC-1=RO or RU)
   requisitionORC-4
   statusORC-5,RF1-1
   intentN/A
   categoryRF1-5
   priorityTQ1.9, RF1-2
   codePR1-3 / OBR-4 (varies by domain)
   orderDetailNTE
   quantity[x]NTE
   subjectPID
   encounterPV1
   occurrence[x]TQ1/TQ2, OBR-7/OBR-8
   authoredOnORC-9, RF1-7 / RF1-9
   requesterORC-12, PRT
   performerTypePRT, RF1-3
   performerPRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT
   reasonORC-16, RF1-10
   insuranceIN1/IN2
   supportingInfoAccompanying segments
   specimenSPM
   bodySiteSPM
   bodyStructureSPM
   noteNTE
   patientInstructionNTE
      instruction[x]NTE
   relevantHistoryN/A

Mappings for RIM Mapping (http://hl7.org/v3)

IDRRecommendationServiceRequest
ServiceRequestEntity, Role, or Act,Act[moodCode<=INT]
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.identifier
   instantiatesCanonical.outboundRelationship[typeCode=DEFN].target
   instantiatesUri.outboundRelationship[typeCode=DEFN].target
   basedOn.outboundRelationship[typeCode=FLFS].target
   replaces.outboundRelationship[typeCode=RPLC].target
   requisition.inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier
   status.status
   intent.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
   category.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code
   priority.priorityCode
   doNotPerform.actionNegationInd
   code.code
   orderDetail
      idn/a
      extensionn/a
      modifierExtensionN/A
      parameter
         idn/a
         extensionn/a
         modifierExtensionN/A
   quantity[x].quantity
   subject.participation[typeCode=SBJ].role
   focusparticipation[typeCode=SBJ]
   encounter.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
   occurrence[x].effectiveTime
   asNeeded[x]boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code="Assertion"].value
   authoredOn.participation[typeCode=AUT].time
   requester.participation[typeCode=AUT].role
   performerType.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
   performer.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
   location.participation[typeCode=LOC].role[scoper.determinerCode=KIND].code
   reason.reasonCode
   insurance.outboundRelationship[typeCode=COVBY].target
   supportingInfo.outboundRelationship[typeCode=PERT].target
   specimen.participation[typeCode=SPC].role
   bodySitetargetSiteCode
   bodyStructuretargetSiteCode
   note.inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]
   patientInstruction.text
      idn/a
      extensionn/a
      modifierExtensionN/A
      instruction[x].text
   relevantHistory.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Mappings for Quality Improvement and Clinical Knowledge (QUICK) (http://siframework.org/cqf)

IDRRecommendationServiceRequest
ServiceRequest
   identifierClinicalStatement.identifier
   statusAction.currentStatus
   codeProcedure.procedureCode
   subjectClinicalStatement.subject
   encounterClinicalStatement.encounter
   occurrence[x]Procedure.procedureSchedule
   asNeeded[x]Proposal.prnReason.reason
   authoredOnProposal.proposedAtTime
   requesterClinicalStatement.statementAuthor
   bodySiteProcedure.targetBodySite
   bodyStructureProcedure.targetBodyStructure
   noteClinicalStatement.additionalText